Certificate of Sponsorship Details
Tier and Category
Tier and Category: Tier 5 (Temporary worker - Government Authorised Exchange) The visa type you need to
apply for using this
document.
Certificate of sponsorship status
Sponsor licence number: 275F2XVV8
Sponsor name: Academy of Medical Royal Colleges
Certificate number: C5679D457
Current certificate status: ASSIGNED
Current certificate status date: 10 July 2016
Date assigned: 10 July 2016 You will not be able to use the CoS after this date ( 3 months
Expiry date (use by): 10 September 2016 from ' date assigned' )
Sponsorship withdrawn: N
Sponsor note: If notified before the CoS is used for Tier 5 visa application,
Migrant application status: minor changes such as corrected address etc are noted here.
Personal information
Family name: Lilly
Given name(s): Potter
Other names:
Nationality: INDIA Example personal information - please check
your details for spelling mistakes prior to using
Place of birth: Kolkata
this document.
Country of birth: INDIA
Date of birth: 17/07/1979
Gender: Female
Country of residence: INDIA
Passport or travel document
Passport number: ABCD12345
Issue date: 02 December 2009
Expiry date: 02 December 2019
Place of issue of passport: Kolkata
Current home address
Please check the passport and home
Address: 17 5/4 Flower address details for spelling mistakes.
Street
City or town:
County, area district or province:
Postcode: 12345
Country: INDIA
Identification numbers
UK ID card number:
UK National Insurance number:
Not applicable for MTI Tier 5 visas.
National ID card number:
Employee number:
The date used in here will be the one stated by the
hospital on the AoMRC Application Form. It should
Work dates be 24 months. The rule of thumb is that it takes about
4-6 weeks minimum from creation of the CoS to
Start date: 05 August 2016 obtaining visa and arriving to UK.
End date: 01 August 2018
Does the migrant need to leave and re-enter N
the UK during the period of approval? In the case of MTI placements, you are living in the UK during the period of visa
Total weekly hours of work: 48.00 therefore this box should not be ticked ('N' is correct ). As an MTI doctor, you will
still be able to travel overseas for leisure/work/domestic purposes.
Main work address in the United Kingdom (mandatory for assignment):
Address: Piricess Charlotte Hospital
City or town: London
County, area district or province:
Postcode: 2AB 3DE
Other regular work addresses in the United Kingdom:
Migrant's employment
Job title: International Training Fellow
Job type: 2211 Medical practitioners - Speciality registrar (StR)
and equivalent
Summary of job description: Medical Training Initiative - International Training Fellow
Gross salary in pound sterling including any allowances and guaranteed 40.000,00
bonuses:
For each: Year
Gross allowances and guaranteed bonuses included in the above figure 15000.00
in pound sterling:
Summary of all allowances and guaranteed bonuses: 50% on call banding
Tick to confirm that the post is at the appropriate skill level as set out in Y
the sponsor guidance:
Tick to confirm the sponsor certifies maintenance for the migrant: Y
'Y' indicates that Academy received
evidence that the MTI post is funded. The
level of funding should be equivalent to
that which would be paid to a UK trainee
in the same post.